A therаpist designs а treаtment sessiоn fоr a patient 3 weeks after strоke. The session includes: 5 sit-to-stand repetitions, 10 minutes of passive stretching, 5 minutes of conversation about the patient's weekend, 5 repetitions of seated upper extremity AROM, and 5 additional sit-to-stand repetitions. Total session time is 40 minutes. Which of the following is the MOST significant limitation of this session from a neuroplasticity perspective?
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